Michael Thomas Holcomb, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396495099

Michael Thomas Holcomb, MD is a Family Practice in Central Square, New York. Graduated from State University of Ny Upstate Medical University in 2022, 4 years ago. Practices with Northern Oswego County Health Services, Inc, a 39-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying: 4
Trained at: State University of Ny Upstate Medical University
Licensed in: NY
In the registry since: 2022
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

3045 E Ave Ste G400
Central Square, NY 13036-2611
Phone: (315) 675-9200
Fax: (315) 630-3168

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

510 S 4th St Ste 600, Fulton, NY 13069-2952 — (315) 598-4790
5856 Scenic Ave, Mexico, NY 13114-3012 — (315) 963-4133
120 E 1st St, Oswego, NY 13126-2111 — (315) 342-0880
7 Bridge St, Phoenix, NY 13135-1906 — (315) 695-4700
61 Delano St, Pulaski, NY 13142-1400 — (315) 298-6564

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence 339301 (NY)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X · Licence 64611 (NY)

Record details

NPI number	1396495099
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	March 25, 2022
Last updated in NPPES	August 21, 2025
Certification date	August 21, 2025
Mailing address	61 Delano St, Pulaski, NY 13142-1400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	FAMILY PRACTICE
Medical school	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated	2022 (4 years in practice)
Group practice	Northern Oswego County Health Services, Inc. — 39 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount